The Effectiveness of Motivational Interviewing Approach on Diabetes Management

Document Type : Original Article

Authors

1 Department of Nutrition and Food Technology, Faculty of Agriculture, University of Jordan, Amman, Jordan

2 Department of Nutrition and Integrative Health, Middle East University, Amman, Jordan

10.30476/ijns.2025.106582.1450

Abstract

Background: The Healthy Community Clinic (HCC) program utilizes a motivational interviewing (MI) approach to encourage behavioral change among diabetic patients, enabling them for a better glycemic control and weight management. The present study aimed to assess the effect of MI approach on glycemic control and weight management in type 2 diabetes mellitus (T2DM) patients.
Methods: In a pre-post quasi-experimental design, 64 adult male and female diabetic patients who had completed the approach cycle were enrolled. The approach cycle was three MI sessions over three months. The effect of the intervention on glycemic control was tested by measuring the change in glycated hemoglobin (HbA1c) and fasting blood glucose (FBG) levels while the effect of the approach on weight management was tested by measuring the change in body weight (BW) and body mass index (BMI). Pre- and post-intervention data were collected from the patient’s medical records.
Results: Glycemic indicators, including HbA1c and FBG levels, showed a significant decrease, with a mean difference of 0.69% and 35.47 mg/dL, respectively (p=0.013 and 0.018, respectively). Regarding weightrelated outcomes, BW and BMI dropped with a mean difference of 2.01 kg and 0.73 kg/m², respectively, but it was not statistically significant.
Conclusion: This study demonstrated a promising impact of MI on glycemic control among people living with T2DM.

Highlights

Rima Hussein Mashal (Google Scholar)

Keywords


  1. Sapra A, Bhandari P. Diabetes. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. PMID: 31855345. Bookshelf ID: NBK551501.
  2. Masoumi SJ, Nekooeian AA, Tanideh N, et al. Effect of allium porrum on streptozotocin-induced diabetes mellitus hyperglycemia and insulin resistance in male Sprague Dawley rats. Onl J Vet Res. 2020;24:573-577.
  3. Sun H, Saeedi P, Karuranga S, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. DOI: 10.1016/j.diabres.2021.109119. PMID: 34879977.
  4. Tomic D, Shaw JE, Magliano DJ. The burden and risks of emerging complications of diabetes mellitus. Nat Rev Endocrinol. 2022;18:525-39. DOI: 10.1038/s41574-022-00690-7. PMID: 35668219.
  5. Hosseini SE, Rezaei E, Mehrabani D, et al. Effect of pomegranate juice on lipid profile in streptozotocin-induced diabetic adult male rats. J Exp Anim Biol. 2013;2:13-20.
  6. Adam L, O’Connor C, Garcia AC. Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviours of Adult Patients With Type 2 Diabetes Mellitus. Can J Diabetes. 2018;42:470-477.e2. DOI: 10.1016/j.jcjd.2017.11.003.
  7. Bilgin A, Muz G, Yuce GE. The effect of motivational interviewing on metabolic control and psychosocial variables in individuals diagnosed with diabetes: Systematic review and meta-analysis. Patient Educ Couns. 2022;105:2806-23. DOI: 10.1016/j.pec.2022.04.008. PMID: 35501227.
  8. Mirzaei MR, Sharifi MH, Mahboobi S, et al. The Relationship between Glycemic Index, Social Support and Sleep Quality in Patients with Type 2 Diabetes. Int J Nutr Sci. 2025;10:126-135. DOI: 10.30476/ijns.2025.100845.1286.
  9. Ardeňa GJRA, Paz-Pacheco E, Jimeno CA, et al. Knowledge, attitudes and practices of persons with type 2 diabetes in a rural community: Phase I of the community-based Diabetes Self-Management Education (DSME) Program in San Juan, Batangas, Philippines. Diabetes Res Clin Pract. 2010;90:160-6. DOI: 10.1016/j.diabres.2010.08.003. PMID: 20828851.
  10. Herbst RB, Corley AMS, McTate E, Gettings JM. Motivational Interviewing in Pediatric Mental Health. Pediatr Clin North Am. 2024;71:1047-1058. DOI: 10.1016/j.pcl.2024.07.012. PMID: 39433377.
  11. Kılınçİşleyen EK, Özdemir İN, Yoldemır ŞA. The effect of tele-nursing based motivational interviewing on self-efficacy, self-management and metabolic control parameters in individuals with type 2 diabetes: randomized controlled study. Ir J Med Sci. 2025;194:563-573. DOI: 10.1007/s11845-025-03916-5. PMID: 39982630.
  12. Bailey RR. Goal Setting and Action Planning for Health Behavior Change. Am J Lifestyle Med. 2017;13:615-618.DOI: 10.1177/1559827617729634. PMID: 31662729.
  13. Cook HE, Garris LA, Gulum AH, Steber CJ. Impact of SMART Goals on Diabetes Management in a Pharmacist-Led Telehealth Clinic. J Pharm Pract. 2024;37:54-59. DOI: 10.1177/08971900221125021. PMID: 36052449.
  14. Al-Magharieh D, Al-Nsour A, Alsaqer K, et al. A Qualitative Study of Patient Experiences in Non-Communicable Disease Management Within Jordan’s Healthy Community Clinics Program. 2025;18:7089-7101. DOI: 10.2147/JMDH.S540283.
  15. Becker LA. Effect Size (ES). 2000. http://web.uccs.edu/lbecker/Psy590/es.htm. Accessed March 24, 2025.
  16. Zare S, Arjmand G, Eftekhari MH, et al. Adherence to Mediterranean-Dash Intervention for Neurodegenerative Delay (MIND) Dietary Pattern in Elderly with Type 2 Diabetes and the Correlation with Cognitive Functions and Metabolic Profile. Int J Nutr Sci. 2023;8:102-108. DOI: 10.30476/IJNS.2023.97692.1218.
  17. Dellasega C, Gabbay R, Durdock K, et al. Motivational Interviewing (MI) to Change Type 2DM Self Care Behaviors: A Nursing Intervention. J Diabetes Nurs. 2010;14:112-118. PMID: 24817822.
  18. White ND, Bautista V, Lenz T, et al. Using the SMART-EST Goals in Lifestyle Medicine Prescription. Am J Lifestyle Med. 2020;14:271-273. DOI: 10.1177/1559827620905775. PMID: 32477026.
  19. Davies MJ, D’Alessio DA, Fradkin J, et al. Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care. 2018;41:2669-2701. DOI: 10.2337/dci18-0033. PMID: 30291106.
  20. Chen SM, Creedy D, Lin HS, et al. Effects of motivational interviewing intervention on self-management, psychological and glycemic outcomes in type 2 diabetes: a randomized controlled trial. Int J Nurs Stud. 2012;49:637-44. DOI: 10.1016/j.ijnurstu.2011.11.011. PMID: 22209215.
  21. McGill JB, Vlajnic A, Knutsen PG, et al. Effect of gender on treatment outcomes in type 2 diabetes mellitus. Diabetes Res Clin Pract. 2013;102:167-74. DOI: 10.1016/j.diabres.2013.10.001. PMID: 24183259.
  22. Astbury NM. Interventions to improve glycaemic control in people living with, and at risk of developing type 2 diabetes. Diabetes Obes Metab. 2024:26 Suppl 4:39-49. DOI: 10.1111/dom.15855. PMID: 39157890.
  23. Barnes RD, Ivezaj V. A systematic review of motivational interviewing for weight loss among adults in primary care. Obes Rev. 2015;16:304-18. DOI: 10.1111/obr.12264. PMID: 25752449.
  24. Masoumi SJ, Ranjbar S, Keshavarz V. The Effectiveness of Stevia in Diabetes Mellitus: A Review. Int J Nutr Sci. 2020;5:45-49. DOI: 10.30476/IJNS.2020.85311.1056.
  1. Maayeshi N, Mousavi SM, Ranjbaran H, et al. The Relationship between Nutritional Knowledge and Food Habits and Some Cardiometabolic Risk Factors in Patients with Diabetes in Shiraz, Iran. Int J Nutr Sci. 2019;4:36-42. DOI: 10.30476/IJNS.2019.81733.1012.
  1. Barnes RD, Ivezaj V, Martino S, et al. Back to Basics? No Weight Loss from Motivational Interviewing Compared to Nutrition Psychoeducation at One-Year Follow-Up. Obesity. 2017 2017;25:2074-2078. DOI: 10.1002/oby.21972.
  2. Najafi N, Masoumi SJ. The Effect of Garlic (Allium Sativum) Supplementation in Patients with Type 2 Diabetes Mellitus: A Systematic Review. Int J Nutr Sci. 2018;3:7-11.
  3. Wing RR, Bahnson JL, Bray GA, et al. Long Term Effects of a Lifestyle Intervention on Weight and Cardiovascular Risk Factors in Individuals with Type 2 Diabetes: Four Year Results of the Look AHEAD Trial. Arch Intern Med. 2010;170:1566-75. DOI: 10.1001/archinternmed.2010.334. PMID: 20876408.
  4. Franz MJ, VanWormer JJ, Crain AL, et al. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007;107:1755-67. DOI: 10.1016/j.jada.2007.07.017. PMID: 17904936.
  5. American Diabetes Association Professional Practice Committee, Nuha AE, Grazia A, et al. 8. Obesity and Weight Management for the Prevention and Treatment of Type 2 Diabetes: Standards of Care in Diabetes–2024. Diabetes Care. 2024;47:ps145. DOI: 10.2337/dc24-S008.
  6. Bauman V, Ariel-Donges AH, Gordon EL, Daniels MJ, Xu D, Ross KM, et al. Effect of dose of behavioral weight loss treatment on glycemic control in adults with prediabetes. BMJ Open Diabetes Res Care. 2019;7:e000653. DOI: 10.1136/bmjdrc-2019-000653. PMID: 31245006.
  7. Schäfer T, Schwarz MA. The meaningfulness of effect sizes in psychological research: Differences between sub-disciplines and the impact of potential biases. Front Psychol. 2019:10:813. DOI: 10.3389/fpsyg.2019.00813. PMID: 31031679.
  8. Alsairafi ZK, Taylor KMG, Smith FJ, et al. Patients’ management of type 2 diabetes in Middle Eastern countries: review of studies. Patient Prefer Adherence. 2016;10:1051-62. DOI: 10.2147/PPA.S104335.